A story about a passenger with chest pain. The airline uses medical advice from a service provided by an ER in Phoenix:

MedLink is a 24-hour medical-help hotline in the emergency room of Good Samaritan Hospital in Phoenix. A doctor provides recommendations for any inflight medical emergency or medical condition when advice is necessary. They assume responsibility for the actions of a Flight Attendant or ...

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It affects the statue of limitations, according to Dr. Wes:

In Illinois, the minute a doctor acknowledges that there was a problem, a hidden clock starts that lasts three years. You see defense attorneys know about the bungled system of justice here in the US, and once an admission of responsibility about an injury occurs, plaintiffs have three years to have the case tried.

Michael Hebert on the annual dance we do with Congress on the Medicare fee cuts:

There are ways to encourage doctors to be more cost efficient. Giving them a salary cut every time medical costs rise faster than the price of rice is not one of them.

And anyway, it hasn't worked. Medical costs continue to outstrip GDP growth regardless of the threat of cuts. This is not ...

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David Catron:

Conover also presents a good case that this heavy regulatory burden is actually responsible for patient deaths:4,000 more
Americans die every year from costs associated with health services regulation (22,000) than from lack of health insurance (18,000).
Obviously, the regulatory burden imposed by Washington will increase dramatically if the government is given full control of our health care system. Thus, socialized medicine"”or "single-payer health care" as its advocates would ...

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A study of the obvious: surgery rates increased when surgeons are paid on a fee-for-service basis.

But don't blame the doctors for the current reimbursement system. It was the patients who revolted against the capitated model. I thought capitation was a perfectly reasonable approach to reign in health care costs.

Don't hate the players, hate the game. (via Managed Care Matters)

Medpundit speculates on the extent of his disease.

A psychiatrist retires after being told to spend less time with patients:

On March 8, Kraft was notified by her supervisor that the time allotted for her to see patients would be reduced from 60 minutes for a new patient to 45 minutes, and 20 minutes for a return patient down to 15 minutes. Incorporating paperwork and dictation, Kraft would only be allotted 30 minutes of face time for a ...

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The famous medical text that is, not the show:

There are much, much better anatomical texts than Gray's in terms of the illustrations. . . I don't know why Gray's Anatomy is so darn popular. Not the show, I know why that's popular.

Oral fluroquinolones are out. IM ceftriaxone becomes the first-line therapy.

A hurricane Katrina patient with pneumonia died, and the hospital is being sued for lack of an evacuation plan:

Pneumonia patient Althea Lacoste walked into Methodist Hospital with her portable ventilator a day before Hurricane Katrina struck and died there before rescuers arrived at the flooded, powerless building in eastern New Orleans.

The question now before the Louisiana Supreme Court: Was the hospital's alleged lack of an adequate backup ...

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Bravo for speaking the truth:

Is this what our legal system has wrought? Have we so intimidated the medical profession that its members fear admitting their mistakes and offering to correct them; that we need legislation to protect them against the consequences of apologizing? Concededly, doctors are faced with baseless malpractice claims, exorbitant insurance premiums, the expenditure of time and emotion in defending suits and the possibility that their ...

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Arcoxia: Denied

It wasn't even close.

Needless to say, it's been a tough week for him.

Panda Bear with a common overnight scenario. Imagine yourself in the specialist's position and ask, "Would I come in?"

Part 1 was a few months ago, now with the most recent installment.

A study in the Annals highlights the long-term negative effects of false positive mammograms - which needs to be better publicized in this biased media flurry of cancer screening news:

The Chapel Hill team found higher levels of anxiety and distress among women who received false-positive mammograms. "These effects last for many years," Brewer noted. "Although their anxiety is not generalized or at the level that requires medical intervention, it ...

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More lawyers and lawsuits, according to this USA Today op-ed.

Not if the lawyers have their way:

Providence lawyer Steven Minicucci, who handles malpractice suits, said that displays of compassion are rarely useful in building such cases. But an apology and an admission of error could be key evidence. He opposes the Rhode Island legislation.

"I like to call it the'I'm sorry I killed your mother' bill," Minicucci said. "If a doctor comes out and says something like that, ...

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That's no surprise.

This WSJ op-ed is bang on. This single fact will prevent any complete overhaul of the current system:

Americans want a lot of health care, are willing to pay for a lot of it and don't like their choices limited.

Maybe this isn't exactly new, but it is more certain. Americans rebelled against managed care, and particularly didn't like employers forcing them to enroll. "One of the ...

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